Pancreatic Siphon: A Major determinant of selective shunts. Is it a Historical Entity now?

Journal Title: Journal of Surgery and Surgical Research - Year 2016, Vol 2, Issue 1

Abstract

Surgical management of portal hypertension has changed according to time, evolving from just complete shunts to selective shunts and to liver transplantation. The outcomes also greatly improved owing to better understanding of portal hemodynamics and disease nature. Introduction of selective shunts showed promising results just to be challenged by poor outcome with development of “pancreatic siphon” which then studies in detail. This intra-pancreatic and peri-pancreatic collateral veins which connected portal and splenic veins formed basis of systemic loss of portal flow and thus ending up in failure of selectivity. Pancreatic siphon was found to be associated with increased rates of hepatic encephalopathy post selective shunting along with increased rates of hepatic failure. In addition to this pancreatic siphon led to metabolic sequel like new onset of diabetes, ischemic or compressive pancreatic ductopathy and intrapancreaic cholangiopathy. Although the shunting procedures are not that commonly done, pancreatic siphon has moved out of the limelight. It was just an attempt of recapping the existence of an unfamiliar entity forming delicate balance in the portal circulation.

Authors and Affiliations

Narkhede Rajvilas Anil, Naphade Snehal Ashok

Keywords

Related Articles

Can Prealbumin, Albumin and CRP Levels be used to Predict Prognosis in Patients with Gastric Cancer

cMethods: Albumin, pre-albumin and CRP levels of the patients who underwent surgery for gastric cancer in our division, were prospectively recorded and retrospectively evaluated. Age, gender, duration of hospital stay, T...

Instillation Of 0.5% Bupivacaine Soaked Surgicel in the Gall Bladder Bed and Infiltration at Port Sites-Efficacy of Pain Relief after Laparoscopic Cholecystectomy

Background: This study aims to evaluate the effectiveness of 0.5% bupivacaine soaked surgicel placed in the gall bladder bed and infiltration at port sites at laparoscopic cholecystectomy, in relieving pain during 1st 24...

Page Kidney Phenomenon following Kidney Graft Biopsy

Percutaneous renal allograft biopsy is commonly performed as a protocol or diagnostic biopsy after kidney transplantation to detect rejection, recurrence of kidney disease, infection and calcineurin inhibitor (CNI) nephr...

Intraventricular Cavernoma

Intraventricular cavernomas (IVC) are rare entities. We report a case of incidentally detected intraventricular cavernoma (IVC) in frontal horn of the lateral ventricle in which the diagnosis was established by typical m...

Skin Sparing Fistulectomy with Primary Sphincters Repair by Special Sutures for Management of High Perianal Fistula

Background: Fistula in ano is a common disease seen in the surgical outpatient department. Many procedures are advocated for the treatment of fistula in ano. However, none of the procedures is considered the gold standar...

Download PDF file
  • EP ID EP350023
  • DOI 10.17352/2455-2968.000029
  • Views 102
  • Downloads 0

How To Cite

Narkhede Rajvilas Anil, Naphade Snehal Ashok (2016). Pancreatic Siphon: A Major determinant of selective shunts. Is it a Historical Entity now?. Journal of Surgery and Surgical Research, 2(1), 39-42. https://www.europub.co.uk/articles/-A-350023